Mindfulness-Based Intervention Performed During Hemodialysis: an Experience Report

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Mindfulness-Based Intervention Performed During Hemodialysis: an Experience Report Intervenção baseada em Mindfulness realizada durante a hemodiálise: Um relato de experiência. Intervención basada en la atención plena realizada durante la hemodiálisis: un informe de experiencia. Angélica Nickel Adamoli 1,2 & Bruno Nunes Razzera 1 & Maitê Freitas Ranheiri 1 & Raphaele Nonnenmacher Colferai 3 Tamara Anne Russell 4 & Ana Regina Noto 5 & Margareth da Silva de Oliveira 1

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Accepted: 23 October 2020/ # Associação Brasileira de Psicologia 2020

Abstract The increasing prevalence of people with chronic kidney disease (CKD) undergoing hemodialysis is considered a serious worldwide problem. This population has severe functional, psychological, and social limitations, causing suffering for the patient and high costs for the health system. Studies on Mindfulness-Based Interventions (MBIs) have shown positive effects for various mental and physical disorders. Evidence of the effects of MBIs for people with CKD is emerging and programs carried out during hemodialysis sessions are almost nonexistent. The present experience report aims to describe the Hemomindful Program, an MBI for managing stress and promoting quality of life for people with CKD undergoing hemodialysis. It was an 8-week MBI, performed individually, during the hemodialysis sessions. A total of 15 adults undergoing hemodialysis treatment, 7 women and 8 men, with a mean age of 54 years (SD = 14.9) participated in this study. This report aims to describe the theoretical and practical basis of the Hemomindful Program and how it can contribute to managing stress and promoting quality of life. The participants referred to positive benefits of the practice, such as greater awareness of body sensations, emotions, and thoughts, less reactivity to deal with stressful situations, greater acceptance of experiences, feelings of well-being, changes in eating and fluid consumption habits, improved family relationships, and better self-care.

* Angélica Nickel Adamoli [email protected] Extended author information available on the last page of the article

Trends in Psychology

Resumo O aumento da prevalência de pessoas com doença renal crônica (DRC) que realizam hemodiálise é crescente, considerado um problema grave a nível mundial. Essa população apresenta muitas limitações funcionais, psicológicas e sociais, gerando sofrimento e custos elevados ao sistema de saúde. Estudos sobre as Intervenções Baseadas em Mindfulness (IBM) apresentam efeitos positivos para de transtornos mentais e físicos. Evidências sobre os efeitos de IBM com pessoas com DRC são incipientes e programas realizados durante as sessões de hemodiálise quase inexistentes. O presente relato de experiência visa descrever o Programa Hemomindful, uma IBM para manejo do estresse e promoção de qualidade de vida de pessoas com DRC em hemodiálise. Trata-se de uma IBM com duração de oito semanas, realizada de forma individual, durante as sessões de hemodiálise. Participaram deste estudo 15 adultos em tratament